OB HESI Practice Questions and

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OB HESI Practice Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A client at 30 weeks gestation reports headache, blurred vision, and swelling in hands and face.What is the priority nursing action?

• Encourage rest and fluids

✔✔B. Assess for preeclampsia and notify provider

• Measure fundal height
• Instruct client on kick counts

A postpartum client reports heavy vaginal bleeding with passage of clots 3 hours after delivery.What should the nurse do first?

• Apply perineal pad only
• Encourage ambulation

✔✔C. Massage the fundus and assess for lacerations or retained placenta

• Document the bleeding

A client in labor receives oxytocin and develops contractions lasting 90 seconds every 1–2 minutes with late decelerations. What is the priority nursing intervention? 1 / 4

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• Encourage deep breathing

✔✔B. Stop the infusion and notify provider

• Administer pain medication
• Place client in Trendelenburg position

A newborn is assessed 1 hour after birth with heart rate 80 bpm and weak cry. What is the immediate nursing action?

• Administer vitamin K
• Swaddle the newborn

✔✔C. Provide stimulation and supplemental oxygen

• Apply phototherapy

A client at 36 weeks gestation reports sudden gush of fluid from the vagina. What is the priority nursing assessment?

• Measure fundal height

✔✔B. Assess fetal heart rate and note time of rupture

• Encourage hydration
• Prepare for delivery immediately 2 / 4

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A client with gestational diabetes is unsure how to monitor blood sugar at home. What teaching is essential?

• Monitor only if symptomatic
• Check once a week

✔✔C. Teach fingerstick technique, target glucose levels, and diet management

• Skip insulin on low-glucose days

A client in labor reports severe back pain with contractions. What non-pharmacologic method should the nurse suggest?

• Apply cold packs to the abdomen
• Limit movement and keep supine

✔✔C. Encourage ambulation, position changes, and counter-pressure

• Administer IV opioids immediately

A postpartum client reports nipple pain and cracks while breastfeeding. What is the priority nursing intervention?

• Encourage formula feeding
• Apply alcohol to nipples 3 / 4

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✔✔C. Assess latch technique and provide positioning education

• Limit feeding duration

A newborn has a temperature of 36.0°C at 2 hours of life. What is the priority nursing action?

• Delay feeding
• Reassess in 12 hours

✔✔C. Provide skin-to-skin contact, warm blankets, and monitor

• Apply cold compress

A client at 32 weeks gestation reports severe pruritus and dark urine. What condition should the nurse suspect?

• Urinary tract infection
• Gestational diabetes

✔✔C. Intrahepatic cholestasis of pregnancy

• Hyperemesis gravidarum

A client in labor has variable decelerations on fetal monitoring. What is the priority nursing intervention?

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